Objective: To analyze the impact and mechanism of the SOC model intervention on improving health literacy and reducing disease uncertainty among young and middle-aged patients with coronary heart disease. Methods: A hundred young and middle-aged patients with coronary heart disease from our hospital between March and October 2024 were randomly divided into an observation group and a control group, with 50 patients in each group. Both groups received routine nursing intervention, while the observation group also received intervention based on the Stages of Change (SOC) model. The intervention period was 30 days. Changes in self-efficacy, health literacy, and disease uncertainty were compared between the two groups before and after the intervention. Results: After the intervention, the self-efficacy scores of both groups increased significantly, and the observation group had higher self-efficacy scores than the control group, with a significant difference (P < 0.05). Additionally, the observation group showed significantly higher levels of health literacy than the control group (P < 0.001). Furthermore, the observation group had significantly lower scores for disease uncertainty compared to the control group (P < 0.001). Conclusion: The SOC model, in addition to routine nursing, significantly affects self-efficacy, disease uncertainty, and health literacy among young and middle-aged patients with coronary heart disease. It helps to enhance patients’ knowledge of coronary heart disease, improve health literacy levels, and reduce disease uncertainty, making it worthy of clinical promotion and application.
Jia Y, Wang Y, Gao X, et al., 2024, Development and Validation of a Health Literacy Scale for Young and Middle-Aged Patients With Coronary Heart Disease. Tianjin Journal of Nursing, 32(2): 132–137.
Sun J, Sang W, Jia G, et al., 2024, Implementation and Effect Evaluation of a Self-Management Intervention Program for Young and Middle-Aged Patients With Coronary Heart Disease After PCI. Chinese Journal of Nursing Education, 21(2): 133–139.
Yu Z, 2021, The Influence of Satisfying Health Information Dissemination Needs Under the “Internet +” Model on Postoperative Cognitive Status and Medication Compliance of Young and Middle-Aged Patients With Coronary Heart Disease. Disease Monitoring & Control, 15(6): 490–492, 496.
Qin L, Gu S, Chen W, et al., 2021, Analysis of the Current Status and Influencing Factors of Disease Uncertainty Among Young and Middle-Aged Inpatients With Coronary Heart Disease. Modern Nurse (Mid-month Edition), 28(10): 119–123.
Wei M, Xing F, Shen D, et al., 2021, Analysis of the Current Status and Influencing Factors of Health Literacy Among Young and Middle-Aged Patients Undergoing Interventional Therapy for Coronary Heart Disease. Journal of Cardiovascular and Cerebrovascular Diseases Prevention and Treatment, 21(4): 382–385.
Ma Y, Ji J, 2021, Application Effect of the Stages of Change Model in Young and Middle-Aged Patients With Coronary Heart Disease. Chinese Clinical Nursing, 13(1): 26–29.
Chu H, Sang S, 2020, Effect of the PRECEDE–PROCEED Model on Changing the Lifestyle of Young and Middle-Aged Patients With Coronary Heart Disease. Journal of Clinical and Pathological Research, 40(10): 2709–2715.